Individual
DEMETRIUS R DONSEROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5131 RIVER CLUB DR STE 200, SUFFOLK, VA 23435-3837
(804) 207-6737
(844) 863-4621
Mailing address
5131 RIVER CLUB DR STE 200, SUFFOLK, VA 23435-3837
(804) 207-6737
(844) 863-4621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60509753
WA
101YM0800X
Mental Health Counselor
MHCLH60509753
WA
101YP2500X
Professional Counselor
Primary
0701012966
VA
101YP2500X
Professional Counselor
65705
TX
101YP2500X
Professional Counselor
C6501
OR
Other
Enumeration date
12/17/2018
Last updated
05/14/2026
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